Organization
BENCHMARK HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HARDY (STATE ADMINISTRATOR/CEO)
(208) 390-3870
Entity
Organization
Contact information
Practice address
2098 GLADYS DR., IDAHO FALLS, ID 83401
(208) 390-3870
Mailing address
2098 GLADYS DR., IDAHO FALLS, ID 83401
(208) 390-3870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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